Clinical Account Consultant - Work From Home

Job Summary This position is responsible for performing account management functions from the medical management perspective; serving as primary contact for marketing major/national and mid-market accounts specific to presentations for existing and prospective clients, medical issues and questions on medical management programs; serving as liaison between marketing and health care management to analyze data and interpret information in preparation for meetings, site visits, and requests for proposals; and recommending program enhancements to health care management operations based on client feedback. Ability to travel, including overnight stays. Job Requirements Registered Nurse (RN) or Licensed Master Social Worker (LMSW) or Licensed Professional Counselor (LPC) with current, unrestricted, valid license in the state of operations. 4 years’ experience in a position which requires understanding/applications of managed care products, e.g. PPO, HMO, and CDHP. 3 years clinical or behavioral counseling experience. Project management experience including development, implementation and follow-up. Knowledge of URAC, NCQA, State Department of Insurance and/or standards and accreditation processes of comparable regulatory bodies, i.e. JCAHO. Organizational skills for maintaining a library of presentations. Verbal and written communication skills for crafting presentation including developing corporate communications/ presentatio… Business writing skills with ability to build customer relations. Ability to interact with numerous internal departments and keep abreast of products and service deliverables. PC proficiency to include Microsoft Applications with emphasis on developing PowerPoint presentations and other presentation formats. Ability to travel, including overnight stays. Preferred Job Requirements Registered Nurse (RN) Knowledge of HCSC internal product implementation processes and national account delivery model. Bachelor's degree. Client-facing experience. Knowledge of Business Acumen. Experience in role as strategic clinical consultant or clinical account executive. Strategic project management experience including development, implementation, evaluation and follow-up. Knowledge of the Health and Wellness Marketplace and Programming. Strong organizational skills and the ability to interact with numerous internal departments and keep abreast of products and service deliverables. Prior experience participating in and supporting RFPs for clients. 3+ years’ experience as a Strategic Clinical Account Consultant/Executive in the Health and Wellness industry. 3+ years’ experience working with large, complex national clients. 3+ years' experience analyzing and presenting clinical information and program performance data and recommended course corrections. Experience in presenting and working with major consulting firms. Required Duties Business, data and analytical (Microsoft 365) background. Travel (including overnight stays) 2 times weekly. Mileage paid according to the IRS Mileage Guidelines. In‑office presence for meetings and client briefing (in the Houston or Richardson office – depending on candidate’s city of residence). Site visits to Providers. Candidate must be based not more than 1 hour from the Houston or the Richardson office. Interview is in‑person/in‑office (in the Houston or Richardson office – depending on candidate’s city of residence). Location and Travel This is a Remote/Work‑From‑Home role for Houston, TX and Richardson, TX. Due to business needs, candidates will need to be based not more than 1 hour from the Houston or the Richardson office to qualify. Eligibility Sponsorship is not available. Pay Transparency Statement We offer a robust total rewards package including health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, and other incentives. The compensation offered will vary depending on your job‑related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and conditions of the plan. Base Pay Range $84,400.00 - $152,300.00 Equal Employment Opportunity Statement We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Accommodations for Applicants with Disabilities If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at View phone number on click.appcast.io to request reasonable accommodations. #J-18808-Ljbffr HCSC